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Program Animals
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Pet Adoption Application
Applicant information
Name
Address
City
Postal Code
Phone number
Secondary phone number
Best time to call
Email
Do you have a family veterinarian?
Yes
No
If yes, contact information
Do you own or rent your home?
Own
Rent
Do you have a full fenced yard?
Yes
No
How would you describe your home environment?
Quiet
Busy
Somewhat busy
Tell us about your family and home life
Do any family members have allergies
Yes
No
Pet information
What type of pet are you interested in?
Cat
Dog
Male
Female
Young <1 year
1-2 years
>2 years
Short hair
Medium hair
Long hair
Good with kids
Good with cats
Good with dogs
Active
Moderately active
Less active
Small breed
Medium breed
Large breed
Why do you want a pet?
Companion for myself
Protection for myself
Kids/family
House
Other pets
Property
Will this be your first pet?
Yes
No
Would you consider dog obedience classes?
Yes
No
What pets do you currently have?
Cat
Dog
Other
Breed
Male/female
Male
Female
Spay/neutered/intact
Spay
Neutered
Intact
Age
Anything else you want to share?
Please list any previous pets
Cat
Dog
Other
Why do you no longer have the pets listed above?
Deceased
Moved
With family
Behavioral
Allergies
Not allowed
Finances
Temperament
Where will the pet spend most of its time?
Indoors only
Outdoors only
With myself/family
% indoors
% outdoors
What type of activities will you do with your pet? (what kind of exercise)
How will your pet be confined when left alone?
In a crate/kennel
In a closed room
Basement
Never alone
Loose in home
In outdoor run
Loose in yard
Attached to a chain
On a clothesline
Please list the names of the animals you are interested in meeting or adopting
Choice 1
Choice 2
Choice 3
TRU Veterinary Technology Pet Adoption Program
How did you hear about our adoption program?
Word of mouth
TV/radio
Newspaper
TRU employee
Previous adopter
Student
For office use only
Adoption Counsellors:
Animals shown:
1.
2.
3.
Interested in:
Comments:
Contact Information
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